Niorn Keonin Nicholas, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

45673 Issued in KS

Practice address

15100 W 87TH St
Lenexa, KS 66219-1420

Phone

(913) 485-2229

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shawnee Mission Medical Center, Inc.

  dba AdventHealth Centra Care

  • Urgent Care Clinic/Center
  • Shawnee, KS
  • NPI 1942317854
  Medicare reassignment NPD
• Signify Health Medical Associates of Kansas LLC

  • Multi-Specialty Clinic/Center
  • Wichita, KS
  • NPI 1780261701
  Medicare reassignment NPD
• Shawnee Mission Medical Center, Inc.

  dba AdventHealth Imaging Center Roeland Park

  • Radiology Clinic/Center
  • Roeland Park, KS
  • NPI 1578178521
  NPD
• Mercy & Truth Healthcare Ministry, Inc

  dba Mercy & Truth Medical Missions

  • Federally Qualified Health Center (FQHC)
  • Kansas City, KS
  • NPI 1609879063

  Family

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1952438228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16008 GRANDVIEW ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "660857829",
            "telephone_number": "913-485-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 W 87TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191420",
            "telephone_number": "913-485-2229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11729 Roe Ave",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662112605",
            "country_code": "US",
            "telephone_number": "913-345-8404 x8222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "NIORN",
        "middle_name": "KEONIN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200420060A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haimie Armide NG'Ang'a
• CHI Jenny Nguyen, PHARMD
• Chrislyn Marie Nguyen
• Diem Thi-Mong Nguyen, RPH
• Linhthu Bailey Nguyen, PHARMD
• Amy L Nichols, DPT
• Jolene Nichols, LCAC
• Megan Marie Nichols, MD
• Destiny S Niemczyk
• Dylan Nikkel, RBT

• Family Nurse Practitioner in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.